Background:
Unrecognized colonization of patients and environmental contamination may contribute
cross-transmission of the CPC in LTACHs. We rated the sites
PDA colonization of patients and among the LTACH. Methods:
assessment of 17 patients were found in the wider CCP project screening for 4
LTACHs. Tampon samples from each of the seven anatomical (rectal, inguinal, axillary
, elbow, lower back, urine, oropharyngeal / tracheal secretion) and
to 20 environmental facilities (eg, bed rails, nadkrovatnyy table fan) were collected
. Swabs were inoculated into tryptic soy broth plus 1 mg / ml meropenem or coated directly McConkie agar + 2
ertapenem disks. bla was confirmed by PCR. Isolates
identified to species (MicroScan). Results: The average age
65, 16 (94%) were on mechanical ventilation, 14 (82%) had fecal incontinence
and all of them were bedridden. On the first day of observation, 14 (82%) patients received
1 antibiotic and average length of stay was 55 days LTACH
. Extra-rectal colonization
CCP was detected in all patients. 16/17 (94%) patients in the
least 1 positive skin for PDA. 11/17 (65%) patients had 3 or more
anatomical positive for CCP. Six (35%) patients identified in the CCP >> << Clinical culture to 7.2 weeks, these patients had more parts of the body
positive observation than in patients without positive clinical cultures
(average 4. 5 to 3. 0 sites, respectively, p = 0. 04). Patients were colonized with
next device: 14
K. pneumonia, 1
Enterobacter Aeho ^ epez, 1
E. Aeho epez ^
K. pneumonia << K. pneumonia >> 1
+ Escherichia coli. None of 151
+ patient room or 71 sites strattera without prescritpion total area cultivated districts grew PDA, although 41/222
(18%) environmental sites grew other gram-negative pathogens resistant karbapenemov.
Broth enrichment identified handheld only one additional site of the body that was negative
direct coverage. Conclusion: In a sample of LTACH
patients CCP colonization in several parts of the body was common. We found no PDA >> << pollution in areas KPC-colonized patients. Frequent >> << colonization of multiple sites of skin PDA that antiseptic cleansing may be useful strategy >> << to reduce cross-transmission of the CPC in LTACHs. .